Skip to main content
Top
Published in: BMC Complementary Medicine and Therapies 1/2017

Open Access 01-12-2017 | Research article

Which potential harms and benefits of using ginger in the management of nausea and vomiting of pregnancy should be addressed? a consensual study among pregnant women and gynecologists

Authors: Ramzi Shawahna, Assim Taha

Published in: BMC Complementary Medicine and Therapies | Issue 1/2017

Login to get access

Abstract

Background

Nausea and vomiting of pregnancy (NVP) affect approximately 80–90% of the pregnant women. Ginger (Zingiber officinale Roscoe) is the most widely used herbal therapy in the management of NVP. Like conventional therapies, herbal therapies have potential harms and benefits that patients need to be informed about in order to develop their therapy preferences. The aim of this study was to achieve consensus among women who suffered NVP and physicians often consulted by pregnant women on a core list of potential harms and benefits of using ginger to manage NVP to be addressed during clinical consultations.

Methods

In this study, the Delphi technique was used to achieve consensus on a core list of important harms and benefits of using ginger in the management of NVP to be addressed during the clinical consultation. A Delphi process was followed in two panels in parallel sessions. One panel was composed of 50 gynecologists and other physicians who are often consulted by pregnant women suffering NVP and the other panel was composed of 50 women who suffered NVP.

Results

Consensus was achieved on 21 (75%) of the 28 potential harms presented to the panelists. Panelists agreed that potential harms of the anticoagulant effects of ginger, risk with other co-morbidities, and risk of potential allergic reactions are important to address during the clinical consultation. Of the 14 potential benefits presented to the panelists in both panels, consensus was achieved on 13 (92.9%). Partial consensus on 7 potential harms and 1 potential benefit was achieved in both panels.

Conclusions

Addressing important potential harms and benefits of using ginger for the management of NVP during the clinical consultations is important in promoting congruence and reducing patient dissatisfaction in clinical practice. Consensus was achieved on a core list of important harms and benefits of using ginger for the management of NVP to be addressed during the clinical consultations by a panel of women and a panel of physicians. Further studies are still needed to investigate what is being addressed during clinical consultations.
Appendix
Available only for authorised users
Literature
1.
go back to reference Viljoen E, Visser J, Koen N, Musekiwa A. A systematic review and meta-analysis of the effect and safety of ginger in the treatment of pregnancy-associated nausea and vomiting. Nutr J. 2014;13:20.CrossRefPubMedPubMedCentral Viljoen E, Visser J, Koen N, Musekiwa A. A systematic review and meta-analysis of the effect and safety of ginger in the treatment of pregnancy-associated nausea and vomiting. Nutr J. 2014;13:20.CrossRefPubMedPubMedCentral
3.
go back to reference Badell ML, Ramin SM, Smith JA. Treatment options for nausea and vomiting during pregnancy. Pharmacotherapy. 2006;26:1273–87.CrossRefPubMed Badell ML, Ramin SM, Smith JA. Treatment options for nausea and vomiting during pregnancy. Pharmacotherapy. 2006;26:1273–87.CrossRefPubMed
5.
go back to reference Kennedy DA, Lupattelli A, Koren G, Nordeng H. Safety classification of herbal medicines used in pregnancy in a multinational study. BMC Complement Altern Med. 2016;16:102.CrossRefPubMedPubMedCentral Kennedy DA, Lupattelli A, Koren G, Nordeng H. Safety classification of herbal medicines used in pregnancy in a multinational study. BMC Complement Altern Med. 2016;16:102.CrossRefPubMedPubMedCentral
6.
go back to reference Ernst E, Pittler MH. Efficacy of ginger for nausea and vomiting: a systematic review of randomized clinical trials. Br J Anaesth. 2000;84:367–71.CrossRefPubMed Ernst E, Pittler MH. Efficacy of ginger for nausea and vomiting: a systematic review of randomized clinical trials. Br J Anaesth. 2000;84:367–71.CrossRefPubMed
7.
8.
go back to reference Hollyer T, Boon H, Georgousis A, Smith M, Einarson A. The use of CAM by women suffering from nausea and vomiting during pregnancy. BMC Complement Altern Med. 2002;2:5.CrossRefPubMedPubMedCentral Hollyer T, Boon H, Georgousis A, Smith M, Einarson A. The use of CAM by women suffering from nausea and vomiting during pregnancy. BMC Complement Altern Med. 2002;2:5.CrossRefPubMedPubMedCentral
9.
go back to reference Hall HG, Griffiths DL, McKenna LG. The use of complementary and alternative medicine by pregnant women: a literature review. Midwifery. 2011;27:817–24.CrossRefPubMed Hall HG, Griffiths DL, McKenna LG. The use of complementary and alternative medicine by pregnant women: a literature review. Midwifery. 2011;27:817–24.CrossRefPubMed
10.
go back to reference Marcus DM, Snodgrass WR. Do no harm: avoidance of herbal medicines during pregnancy. Obstet Gynecol. 2005;105:1119–22.CrossRefPubMed Marcus DM, Snodgrass WR. Do no harm: avoidance of herbal medicines during pregnancy. Obstet Gynecol. 2005;105:1119–22.CrossRefPubMed
11.
go back to reference Tiran D. Ginger to reduce nausea and vomiting during pregnancy: evidence of effectiveness is not the same as proof of safety. Complement Ther Clin Pract. 2012;18:22–5.CrossRefPubMed Tiran D. Ginger to reduce nausea and vomiting during pregnancy: evidence of effectiveness is not the same as proof of safety. Complement Ther Clin Pract. 2012;18:22–5.CrossRefPubMed
12.
go back to reference Djuv A, Nilsen OG, Steinsbekk A. The co-use of conventional drugs and herbs among patients in Norwegian general practice: a cross-sectional study. BMC Complement Altern Med. 2013;13:295.CrossRefPubMedPubMedCentral Djuv A, Nilsen OG, Steinsbekk A. The co-use of conventional drugs and herbs among patients in Norwegian general practice: a cross-sectional study. BMC Complement Altern Med. 2013;13:295.CrossRefPubMedPubMedCentral
13.
go back to reference Al-Ramahi R, Jaradat N, Shalalfeh R, Nasir S, Manasra Y, Shalalfeh I, et al. Evaluation of potential drug- herb interactions among a group of Palestinian patients with chronic diseases. BMC Complement Altern Med. 2015;15:221.CrossRefPubMedPubMedCentral Al-Ramahi R, Jaradat N, Shalalfeh R, Nasir S, Manasra Y, Shalalfeh I, et al. Evaluation of potential drug- herb interactions among a group of Palestinian patients with chronic diseases. BMC Complement Altern Med. 2015;15:221.CrossRefPubMedPubMedCentral
14.
go back to reference Kunneman M, Pieterse AH, Stiggelbout AM, Marijnen CA. Which benefits and harms of preoperative radiotherapy should be addressed? A Delphi consensus study among rectal cancer patients and radiation oncologists. Radiother Oncol. 2015;114:212–7.CrossRefPubMed Kunneman M, Pieterse AH, Stiggelbout AM, Marijnen CA. Which benefits and harms of preoperative radiotherapy should be addressed? A Delphi consensus study among rectal cancer patients and radiation oncologists. Radiother Oncol. 2015;114:212–7.CrossRefPubMed
15.
go back to reference Hack TF, Degner LF, Parker PA. The communication goals and needs of cancer patients: a review. Psychooncology. 2005;14:831–45. discussion 46-7CrossRefPubMed Hack TF, Degner LF, Parker PA. The communication goals and needs of cancer patients: a review. Psychooncology. 2005;14:831–45. discussion 46-7CrossRefPubMed
16.
go back to reference Dunn J, Steginga SK, Rose P, Scott J, Allison R. Evaluating patient education materials about radiation therapy. Patient Educ Couns. 2004;52:325–32.CrossRefPubMed Dunn J, Steginga SK, Rose P, Scott J, Allison R. Evaluating patient education materials about radiation therapy. Patient Educ Couns. 2004;52:325–32.CrossRefPubMed
17.
go back to reference Guleser GN, Tasci S, Kaplan B. The experience of symptoms and information needs of cancer patients undergoing radiotherapy. J Cancer Educ. 2012;27:46–53.CrossRefPubMed Guleser GN, Tasci S, Kaplan B. The experience of symptoms and information needs of cancer patients undergoing radiotherapy. J Cancer Educ. 2012;27:46–53.CrossRefPubMed
19.
go back to reference Basirat Z, Moghadamnia A, Kashifard M, Sarifi-Razavi A. The effect of ginger biscuit on nausea and vomiting in early pregnancy. Acta Medica Iranica. 2009;47:51–6. Basirat Z, Moghadamnia A, Kashifard M, Sarifi-Razavi A. The effect of ginger biscuit on nausea and vomiting in early pregnancy. Acta Medica Iranica. 2009;47:51–6.
20.
go back to reference Chittumma P, Kaewkiattikun K, Wiriyasiriwach B. Comparison of the effectiveness of ginger and vitamin B6 for treatment of nausea and vomiting in early pregnancy: a randomized double-blind controlled trial. J Med Assoc Thail. 2007;90:15–20. Chittumma P, Kaewkiattikun K, Wiriyasiriwach B. Comparison of the effectiveness of ginger and vitamin B6 for treatment of nausea and vomiting in early pregnancy: a randomized double-blind controlled trial. J Med Assoc Thail. 2007;90:15–20.
21.
go back to reference Ensiyeh J, Sakineh MA. Comparing ginger and vitamin B6 for the treatment of nausea and vomiting in pregnancy: a randomised controlled trial. Midwifery. 2009;25:649–53.CrossRefPubMed Ensiyeh J, Sakineh MA. Comparing ginger and vitamin B6 for the treatment of nausea and vomiting in pregnancy: a randomised controlled trial. Midwifery. 2009;25:649–53.CrossRefPubMed
22.
go back to reference Fischer-Rasmussen W, Kjaer SK, Dahl C, Asping U. Ginger treatment of hyperemesis gravidarum. Eur J Obstet Gynecol Reprod Biol. 1991;38:19–24.CrossRefPubMed Fischer-Rasmussen W, Kjaer SK, Dahl C, Asping U. Ginger treatment of hyperemesis gravidarum. Eur J Obstet Gynecol Reprod Biol. 1991;38:19–24.CrossRefPubMed
23.
go back to reference Haji Seid Javadi E, Salehi F, Mashrabi O. Comparing the effectiveness of vitamin b6 and ginger in treatment of pregnancy-induced nausea and vomiting. Obstet Gynecol Int. 2013;2013:927834.CrossRefPubMedPubMedCentral Haji Seid Javadi E, Salehi F, Mashrabi O. Comparing the effectiveness of vitamin b6 and ginger in treatment of pregnancy-induced nausea and vomiting. Obstet Gynecol Int. 2013;2013:927834.CrossRefPubMedPubMedCentral
24.
go back to reference Heitmann K, Nordeng H, Holst L. Safety of ginger use in pregnancy: results from a large population-based cohort study. Eur J Clin Pharmacol. 2013;69:269–77.CrossRefPubMed Heitmann K, Nordeng H, Holst L. Safety of ginger use in pregnancy: results from a large population-based cohort study. Eur J Clin Pharmacol. 2013;69:269–77.CrossRefPubMed
25.
go back to reference Koo KL, Ammit AJ, Tran VH, Duke CC, Roufogalis BD. Gingerols and related analogues inhibit arachidonic acid-induced human platelet serotonin release and aggregation. Thromb Res. 2001;103:387–97.CrossRefPubMed Koo KL, Ammit AJ, Tran VH, Duke CC, Roufogalis BD. Gingerols and related analogues inhibit arachidonic acid-induced human platelet serotonin release and aggregation. Thromb Res. 2001;103:387–97.CrossRefPubMed
26.
go back to reference Marx W, McKavanagh D, McCarthy AL, Bird R, Ried K, Chan A, et al. The effect of ginger (Zingiber officinale) on platelet aggregation: a systematic literature review. PLoS One. 2015;10:e0141119.CrossRefPubMedPubMedCentral Marx W, McKavanagh D, McCarthy AL, Bird R, Ried K, Chan A, et al. The effect of ginger (Zingiber officinale) on platelet aggregation: a systematic literature review. PLoS One. 2015;10:e0141119.CrossRefPubMedPubMedCentral
27.
go back to reference Nurtjahja-Tjendraputra E, Ammit AJ, Roufogalis BD, Tran VH, Duke CC. Effective anti-platelet and COX-1 enzyme inhibitors from pungent constituents of ginger. Thromb Res. 2003;111:259–65.CrossRefPubMed Nurtjahja-Tjendraputra E, Ammit AJ, Roufogalis BD, Tran VH, Duke CC. Effective anti-platelet and COX-1 enzyme inhibitors from pungent constituents of ginger. Thromb Res. 2003;111:259–65.CrossRefPubMed
28.
go back to reference Pongrojpaw D, Somprasit C, Chanthasenanont A. A randomized comparison of ginger and dimenhydrinate in the treatment of nausea and vomiting in pregnancy. J Med Assoc Thail. 2007;90:1703–9. Pongrojpaw D, Somprasit C, Chanthasenanont A. A randomized comparison of ginger and dimenhydrinate in the treatment of nausea and vomiting in pregnancy. J Med Assoc Thail. 2007;90:1703–9.
29.
go back to reference Portnoi G, Chng LA, Karimi-Tabesh L, Koren G, Tan MP, Einarson A. Prospective comparative study of the safety and effectiveness of ginger for the treatment of nausea and vomiting in pregnancy. Am J Obstet Gynecol. 2003;189:1374–7.CrossRefPubMed Portnoi G, Chng LA, Karimi-Tabesh L, Koren G, Tan MP, Einarson A. Prospective comparative study of the safety and effectiveness of ginger for the treatment of nausea and vomiting in pregnancy. Am J Obstet Gynecol. 2003;189:1374–7.CrossRefPubMed
30.
go back to reference Vutyavanich T, Kraisarin T, Ruangsri R. Ginger for nausea and vomiting in pregnancy: randomized, double-masked, placebo-controlled trial. Obstet Gynecol. 2001;97:577–82.PubMed Vutyavanich T, Kraisarin T, Ruangsri R. Ginger for nausea and vomiting in pregnancy: randomized, double-masked, placebo-controlled trial. Obstet Gynecol. 2001;97:577–82.PubMed
31.
go back to reference Willetts KE, Ekangaki A, Eden JA. Effect of a ginger extract on pregnancy-induced nausea: a randomised controlled trial. Aust N Z J Obstet Gynaecol. 2003;43:139–44.CrossRefPubMed Willetts KE, Ekangaki A, Eden JA. Effect of a ginger extract on pregnancy-induced nausea: a randomised controlled trial. Aust N Z J Obstet Gynaecol. 2003;43:139–44.CrossRefPubMed
32.
go back to reference Saberi F, Sadat Z, Abedzadeh-Kalahroudi M, Taebi M. Acupressure and ginger to relieve nausea and vomiting in pregnancy: a randomized study. Iran Red Crescent Med J. 2013;15:854–61.CrossRefPubMedPubMedCentral Saberi F, Sadat Z, Abedzadeh-Kalahroudi M, Taebi M. Acupressure and ginger to relieve nausea and vomiting in pregnancy: a randomized study. Iran Red Crescent Med J. 2013;15:854–61.CrossRefPubMedPubMedCentral
33.
go back to reference Giacosa A, Morazzoni P, Bombardelli E, Riva A, Bianchi Porro G, Rondanelli M. Can nausea and vomiting be treated with ginger extract. Eur Rev Med Pharmacol Sci. 2015;19:1291–6.PubMed Giacosa A, Morazzoni P, Bombardelli E, Riva A, Bianchi Porro G, Rondanelli M. Can nausea and vomiting be treated with ginger extract. Eur Rev Med Pharmacol Sci. 2015;19:1291–6.PubMed
35.
go back to reference Matthews A, Haas DM, O’Mathúna DP, Dowswell T. Interventions for nausea and vomiting in early pregnancy. Cochrane Database Syst Rev. 2015;8:CD007575. Matthews A, Haas DM, O’Mathúna DP, Dowswell T. Interventions for nausea and vomiting in early pregnancy. Cochrane Database Syst Rev. 2015;8:CD007575.
36.
go back to reference Duffield C. The Delphi technique: a comparison of results obtained using two expert panels. Int J Nurs Stud. 1993;30:227–37.CrossRefPubMed Duffield C. The Delphi technique: a comparison of results obtained using two expert panels. Int J Nurs Stud. 1993;30:227–37.CrossRefPubMed
37.
go back to reference Hasson F, Keeney S, McKenna H. Research guidelines for the Delphi survey technique. J Adv Nurs. 2000;32:1008–15.PubMed Hasson F, Keeney S, McKenna H. Research guidelines for the Delphi survey technique. J Adv Nurs. 2000;32:1008–15.PubMed
38.
go back to reference Keeney S, Hasson F, McKenna H. Consulting the oracle: ten lessons from using the Delphi technique in nursing research. J Adv Nurs. 2006;53:205–12.CrossRefPubMed Keeney S, Hasson F, McKenna H. Consulting the oracle: ten lessons from using the Delphi technique in nursing research. J Adv Nurs. 2006;53:205–12.CrossRefPubMed
39.
go back to reference Mease PJ, Arnold LM, Crofford LJ, Williams DA, Russell IJ, Humphrey L, et al. Identifying the clinical domains of fibromyalgia: contributions from clinician and patient Delphi exercises. Arthritis Rheum. 2008;59:952–60.CrossRefPubMed Mease PJ, Arnold LM, Crofford LJ, Williams DA, Russell IJ, Humphrey L, et al. Identifying the clinical domains of fibromyalgia: contributions from clinician and patient Delphi exercises. Arthritis Rheum. 2008;59:952–60.CrossRefPubMed
40.
go back to reference Shawahna R, Masri D, Al-Gharabeh R, Deek R, Al-Thayba L, Halaweh M. Medication administration errors from a nursing viewpoint: a formal consensus of definition and scenarios using a Delphi technique. J Clin Nurs. 2016;25:412–23.CrossRefPubMed Shawahna R, Masri D, Al-Gharabeh R, Deek R, Al-Thayba L, Halaweh M. Medication administration errors from a nursing viewpoint: a formal consensus of definition and scenarios using a Delphi technique. J Clin Nurs. 2016;25:412–23.CrossRefPubMed
41.
go back to reference Shawahna R, Haddad A, Khawaja B, Raie R, Zaneen S, Edais T. Medication dispensing errors in Palestinian community pharmacy practice: a formal consensus using the Delphi technique. Int J Clin Pharm. 2016;38:1112–23.CrossRefPubMed Shawahna R, Haddad A, Khawaja B, Raie R, Zaneen S, Edais T. Medication dispensing errors in Palestinian community pharmacy practice: a formal consensus using the Delphi technique. Int J Clin Pharm. 2016;38:1112–23.CrossRefPubMed
42.
go back to reference Okoli C, Pawlowski SD. The Delphi method as a research tool: an example, design considerations and applications. Information and management. 2004;42:15–29.CrossRef Okoli C, Pawlowski SD. The Delphi method as a research tool: an example, design considerations and applications. Information and management. 2004;42:15–29.CrossRef
43.
go back to reference Franklin BD, O’Grady K. Dispensing errors in community pharmacy: frequency, clinical significance and potential impact of authentication at the point of dispensing. Int J Pharm Pract. 2007;15:273–81.CrossRef Franklin BD, O’Grady K. Dispensing errors in community pharmacy: frequency, clinical significance and potential impact of authentication at the point of dispensing. Int J Pharm Pract. 2007;15:273–81.CrossRef
44.
go back to reference Page A, Potter K, Clifford R, McLachlan A, Etherton-Beer C. Prescribing for Australians living with dementia: study protocol using the Delphi technique. BMJ Open. 2015;5:e008048.CrossRefPubMedPubMedCentral Page A, Potter K, Clifford R, McLachlan A, Etherton-Beer C. Prescribing for Australians living with dementia: study protocol using the Delphi technique. BMJ Open. 2015;5:e008048.CrossRefPubMedPubMedCentral
45.
go back to reference Magnani R, Sabin K, Saidel T, Heckathorn D. Review of sampling hard-to-reach and hidden populations for HIV surveillance. AIDS. 2005;19(Suppl 2):S67–72.CrossRefPubMed Magnani R, Sabin K, Saidel T, Heckathorn D. Review of sampling hard-to-reach and hidden populations for HIV surveillance. AIDS. 2005;19(Suppl 2):S67–72.CrossRefPubMed
47.
go back to reference McKenna HP. The Delphi technique: a worthwhile research approach for nursing? J Adv Nurs. 1994;19:1221–5.CrossRefPubMed McKenna HP. The Delphi technique: a worthwhile research approach for nursing? J Adv Nurs. 1994;19:1221–5.CrossRefPubMed
48.
go back to reference Kaushal R, Bates DW, Landrigan C, McKenna KJ, Clapp MD, Federico F, et al. Medication errors and adverse drug events in pediatric inpatients. JAMA. 2001;285:2114–20.CrossRefPubMed Kaushal R, Bates DW, Landrigan C, McKenna KJ, Clapp MD, Federico F, et al. Medication errors and adverse drug events in pediatric inpatients. JAMA. 2001;285:2114–20.CrossRefPubMed
49.
go back to reference Ross L, Wallace J, Paton J. Medication errors in a paediatric teaching hospital in the UK: five years operational experience. Arch Dis Child. 2000;83:492–7.CrossRefPubMedPubMedCentral Ross L, Wallace J, Paton J. Medication errors in a paediatric teaching hospital in the UK: five years operational experience. Arch Dis Child. 2000;83:492–7.CrossRefPubMedPubMedCentral
51.
go back to reference Al-Ramahi R, Jaradat N, Adawi D. Use of herbal medicines during pregnancy in a group of Palestinian women. J Ethnopharmacol. 2013;150:79–84.CrossRefPubMed Al-Ramahi R, Jaradat N, Adawi D. Use of herbal medicines during pregnancy in a group of Palestinian women. J Ethnopharmacol. 2013;150:79–84.CrossRefPubMed
52.
go back to reference Ali-Shtayeh MS, Jamous RM, Salameh NM. Complementary and alternative medicine (CAM) use among hypertensive patients in Palestine. Complement Ther Clin Pract. 2013;19:256–63.CrossRefPubMed Ali-Shtayeh MS, Jamous RM, Salameh NM. Complementary and alternative medicine (CAM) use among hypertensive patients in Palestine. Complement Ther Clin Pract. 2013;19:256–63.CrossRefPubMed
53.
go back to reference Shawahna R, Jaradat NA. Ethnopharmacological survey of medicinal plants used by patients with psoriasis in the West Bank of Palestine. BMC Complement Altern Med. 2017;17:4.CrossRefPubMedPubMedCentral Shawahna R, Jaradat NA. Ethnopharmacological survey of medicinal plants used by patients with psoriasis in the West Bank of Palestine. BMC Complement Altern Med. 2017;17:4.CrossRefPubMedPubMedCentral
54.
go back to reference Martin KJ, Jordan TR, Vassar AD, White DB. Herbal and nonherbal alternative medicine use in Northwest Ohio. Ann Pharmacother. 2002;36:1862–9.CrossRefPubMed Martin KJ, Jordan TR, Vassar AD, White DB. Herbal and nonherbal alternative medicine use in Northwest Ohio. Ann Pharmacother. 2002;36:1862–9.CrossRefPubMed
55.
go back to reference Giveon S, Liberman N, Klang S, Kahan E. A survey of primary care physicians’ perceptions of their patients’ use of complementary medicine. Complement Ther Med. 2003;11:254–60.CrossRefPubMed Giveon S, Liberman N, Klang S, Kahan E. A survey of primary care physicians’ perceptions of their patients’ use of complementary medicine. Complement Ther Med. 2003;11:254–60.CrossRefPubMed
56.
go back to reference Saw J, Bahari M, Ang H, Lim Y. Herbal use amongst multiethnic medical patients in Penang hospital: pattern and perceptions. Med J Malaysia. 2006;61:422–32.PubMed Saw J, Bahari M, Ang H, Lim Y. Herbal use amongst multiethnic medical patients in Penang hospital: pattern and perceptions. Med J Malaysia. 2006;61:422–32.PubMed
57.
go back to reference Akins RB, Tolson H, Cole BR. Stability of response characteristics of a Delphi panel: application of bootstrap data expansion. BMC Med Res Methodol. 2005;5:37.CrossRefPubMedPubMedCentral Akins RB, Tolson H, Cole BR. Stability of response characteristics of a Delphi panel: application of bootstrap data expansion. BMC Med Res Methodol. 2005;5:37.CrossRefPubMedPubMedCentral
58.
go back to reference Ferguson ND, Davis AM, Slutsky AS, Stewart TE. Development of a clinical definition for acute respiratory distress syndrome using the Delphi technique. J Crit Care. 2005;20:147–54.CrossRefPubMed Ferguson ND, Davis AM, Slutsky AS, Stewart TE. Development of a clinical definition for acute respiratory distress syndrome using the Delphi technique. J Crit Care. 2005;20:147–54.CrossRefPubMed
59.
go back to reference McAuley JW, Miller MA, Klatte E, Shneker BF. Patients with epilepsy’s perception on community pharmacist’s current and potential role in their care. Epilepsy Behav. 2009;14:141–5.CrossRefPubMed McAuley JW, Miller MA, Klatte E, Shneker BF. Patients with epilepsy’s perception on community pharmacist’s current and potential role in their care. Epilepsy Behav. 2009;14:141–5.CrossRefPubMed
60.
go back to reference Kaye AD, Clarke RC, Sabar R, Vig S, Dhawan KP, Hofbauer R, et al. Herbal medicines: current trends in anesthesiology practice—a hospital survey. J Clin Anesth. 2000;12:468–71.CrossRefPubMed Kaye AD, Clarke RC, Sabar R, Vig S, Dhawan KP, Hofbauer R, et al. Herbal medicines: current trends in anesthesiology practice—a hospital survey. J Clin Anesth. 2000;12:468–71.CrossRefPubMed
61.
go back to reference Hasan R, Baird DD, Herring AH, Olshan AF, Jonsson Funk ML, Hartmann KE. Association between first-trimester vaginal bleeding and miscarriage. Obstet Gynecol. 2009;114:860–7.CrossRefPubMedPubMedCentral Hasan R, Baird DD, Herring AH, Olshan AF, Jonsson Funk ML, Hartmann KE. Association between first-trimester vaginal bleeding and miscarriage. Obstet Gynecol. 2009;114:860–7.CrossRefPubMedPubMedCentral
Metadata
Title
Which potential harms and benefits of using ginger in the management of nausea and vomiting of pregnancy should be addressed? a consensual study among pregnant women and gynecologists
Authors
Ramzi Shawahna
Assim Taha
Publication date
01-12-2017
Publisher
BioMed Central
Published in
BMC Complementary Medicine and Therapies / Issue 1/2017
Electronic ISSN: 2662-7671
DOI
https://doi.org/10.1186/s12906-017-1717-0

Other articles of this Issue 1/2017

BMC Complementary Medicine and Therapies 1/2017 Go to the issue